Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PH BALANCE PRACTITIONERS
Active
Organization
PH BALANCE PRACTITIONERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON ARTHUR PEREAHICKAM PHD, BCBA (FOUNDER AND CEO)
(720) 410-4529
Entity
Organization
Contact information
Practice address
954 5TH AVE, LONGMONT, CO 80501-5424
(720) 410-4529
Mailing address
954 5TH AVE, LONGMONT, CO 80501-5424
(720) 410-4529
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
02/17/2021
Last updated
10/04/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up